| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $30.90 | $70.79 | $81.28 | |
BCBS
| Professional | $57.54 | $75.86 | $75.86 | |
Cigna
| Professional | $36.31 | $36.31 | $36.31 | |
Molina
| Professional | $60.26 | $95.50 | $134.90 | |
Providence
| Facility | $43.65 | $77.62 | $91.20 | |
Providence
| Professional | $37.15 | $37.15 | $37.15 | |
United
| Professional | $29.51 | $37.15 | $56.23 |